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Expenses Claim Form

A free printable expenses claim — a line per receipt with category and amount, a declaration, and approval and payment lines.

First page of the Expenses Claim Form — Claim money spent on somebody else's behalf in a form that ties each line to a numbered receipt and gets signed off.
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One page. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.

Print it and write on it

Fill it in type and save

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

What this sheet is for

Claim money spent on somebody else's behalf in a form that ties each line to a numbered receipt and gets signed off.

Who it is for

Small businesses, clubs, charities, committees, volunteers and anyone reimbursing staff or members.

How to use it

  1. Number the receipts and write the number in the row, then attach them in order.
  2. Use your organisation's own categories.
  3. Sign the declaration — it is what makes the claim a document rather than a note.
  4. Have someone other than the claimant approve it.
  5. Record the date it was paid, on the form.

What is on the sheet

One page, top to bottom:

Printed under the title: A claim for money spent on somebody else's behalf, with a line per receipt and a place to attach them.

No rates are printed here. What can be claimed, what evidence is needed and how mileage is treated are set by the organisation paying and by local tax rules. This form prints no rates and no rules; it records the claim.

Write-on lines: Claimant · Department, team or job · Period · Claim number

Table, 9 rows: Date · What it was for · Category · Paid by · Receipt no. · Amount

Write-on lines: Number of receipts attached · Total claimed · Currency

Declaration. I certify that this claim is for expenses actually incurred and that the receipts attached are genuine.

Signature strip: Claimed by · Approved by · Date paid

Questions

Why is there no mileage rate on the form?

Because rates are set by the organisation paying and, in many countries, by a tax authority — and they change. Printing one would be wrong for most readers within a year. Write the rate you are using in the row.

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Also in the resources library

The same subject, with a version you can fill in on screen.

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